| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.55 | $1,659.59 | $7,585.78 | |
Medcost
| Facility | $630.96 | $870.96 | $1,348.96 | |
United
| Facility | $5,370.32 | $15,135.61 | $22,908.68 | |
Wellcare
| Facility | $14,454.40 | $14,454.40 | $19,498.45 |